NPIMap

Organization Active NPI

Dewitt Family Care Clinic, PA

  • Family Medicine Physician
  • Lakeway, TX
National Provider Identifier
1447492731
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G7054 Issued in TX
Legal business name
DEWITT FAMILY CARE CLINIC, PA
Practice address
1700 RR 620 S
Suite B
Lakeway, TX 78734-6245
Phone
(512) 263-9111
Fax
(512) 263-3122
NPI assigned
Apr 1, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Glenn Dewitt, M.D.
Title
Owner
Phone
(512) 263-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G7054 TX Primary

Addresses

Primary practice location

1700 RR 620 S
Suite B
Lakeway, TX 78734-6245

Mailing address

1700 RR 620 S
Suite B
Lakeway, TX 78734-6245
Phone (512) 263-9111

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1447492731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RR 620 S",
            "address_2": "SUITE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346245",
            "telephone_number": "512-263-9111",
            "fax_number": "512-263-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RR 620 S",
            "address_2": "SUITE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346245",
            "telephone_number": "512-263-9111",
            "fax_number": "512-263-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT FAMILY CARE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-263-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.